Ogilvie's syndrome after paddle spinal cord stimulator implantation: An experience report.
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| Title: | Ogilvie's syndrome after paddle spinal cord stimulator implantation: An experience report. |
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| Authors: | Zemmar, Ajmal, Sinofsky, Alexander, Sheng, Zhiyuan, Pera, Sam, Harbrecht, Brian, Neimat, Joseph |
| Source: | Pain Practice. Jul2023, Vol. 23 Issue 6, p684-688. 5p. 1 Color Photograph, 1 Diagram. |
| Subjects: | Spinal cord, Reimplantation (Surgery), Colonic pseudo-obstruction, Multiple organ failure, Risk assessment, Preventive health services, Neurologic manifestations of general diseases, Cecum diseases, Abdominal pain, Neural stimulation, Disease risk factors |
| Abstract: | Spinal cord stimulation (SCS) is an emerging technology to treat chronic pain from complex regional pain syndrome (CPRS) neuropathy and post‐laminectomy syndrome. A rarely reported postoperative complication of SCS paddle implantation is abdominal pain that can result from thoracic radiculopathy. Ogilvie's syndrome (OS) is a disorder characterized by acute dilatation of the colon in the absence of an anatomic lesion that obstructs the flow of intestinal contents, which has seldom been observed after spine surgery. Here, we describe the case of a 70‐year‐old male who developed OS after SCS paddle implantation resulting in cecal perforation and multi‐system organ failure with lethal outcome. We discuss the pathophysiology, present a method measuring the spinal canal to cord ratio (CCR) to prevent the risk of thoracic radiculopathy and OS after paddle SCS implantation, and propose suggestions for management and treatment of this condition. [ABSTRACT FROM AUTHOR] |
| Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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